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Kinase Inhibitor

Triple Drug Therapy for Advanced Melanoma

Phase 3
Waitlist Available
Research Sponsored by Pfizer
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Documented evidence of a BRAF V600E or V600K mutation in melanoma tumor tissue as previously determined by either PCR or NGS-based local laboratory assay obtained during the course of normal clinical care, in a CLIA- or similarly certified laboratory
Have not received prior first-line systemic therapy for metastatic or unresectable locally advanced melanoma
Timeline
Screening 3 weeks
Treatment Varies
Follow Up day 1 of every 3 cycles: c4d1, c7d1, c10d1, etc. for the first 24 months and then day 1 of every 4 cycles after 24 months
Awards & highlights

Study Summary

This trial is testing a combination of three drugs to treat melanoma that has spread and has a certain type of abnormal gene. One of the drugs is given as an IV infusion, and the other two are taken orally at home every day. The team will monitor how each participant is doing with the treatment during regular visits.

Who is the study for?
Adults with advanced or metastatic melanoma that has a specific BRAF gene mutation and no prior treatment for their condition. They must be able to follow the study plan, have at least one measurable lesion, proper organ function, and an ECOG status of 0 or 1. Exclusions include significant heart disease history, recent serious blood clots or strokes, active infections requiring treatment, brain metastases involvement, certain medication use within specified timeframes before the trial starts.Check my eligibility
What is being tested?
The trial is testing a combination of three drugs: Encorafenib and Binimetinib taken orally daily at home along with Pembrolizumab given via IV every three weeks in the clinic. The goal is to assess their effectiveness when used together against melanoma that hasn't been treated before.See study design
What are the potential side effects?
Potential side effects may include fatigue, skin reactions, liver problems (like hepatitis), muscle pain or weakness (myopathy), allergic reactions including swelling under the skin (angioedema) and infusion-related reactions from Pembrolizumab.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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My melanoma has a BRAF V600 mutation confirmed by a certified test.
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I haven't had systemic therapy for advanced melanoma.
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I am 18 years old or older.
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My skin cancer is at an advanced stage and cannot be surgically removed.
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I am fully active or can carry out light work.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~time from the date of randomization to the date of death due to any cause.
This trial's timeline: 3 weeks for screening, Varies for treatment, and time from the date of randomization to the date of death due to any cause. for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Phase 3: Objective Response (OR) by Blinded Independent Central Review (BICR)
Safety Lead In (SLI): Incidence of Dose Limiting Toxicities (DLTs)
Secondary outcome measures
Phase 3: Change from baseline in 5-level EuroQol-5D (EQ-5D-5L) index score and visual analog scale (VAS)
Melanoma
Phase 3: Change from baseline in Patient Global Impression of Severity (PGIS) score
+11 more

Side effects data

From 2024 Phase 2 trial • 57 Patients • NCT03004183
21%
Fatigue
13%
Nausea
11%
Back pain
9%
Shortness of Breath
9%
Anemia
9%
Abdominal pain
9%
Diarrhea
7%
Pneumonia
7%
Kidney Injury and/or Infection
7%
Dyspnea
7%
Weight Loss
5%
Malnutrition, Hypercalcemia and Weakness
5%
Pneumothorax
5%
Intractable pain, back pain, hip pain
5%
Activated partial thromboplastin time prolonged
4%
Pleural effusion
4%
Atrial fibrillation with rapid ventricular response
2%
Thrombocytopenia
2%
Respiratory failure
2%
Skin rash
2%
colitis
100%
80%
60%
40%
20%
0%
Study treatment Arm
Single Arm

Trial Design

2Treatment groups
Experimental Treatment
Active Control
Group I: Triplet ArmExperimental Treatment3 Interventions
Encorafenib and Binimetinib in combination with Pembrolizumab
Group II: Control ArmActive Control1 Intervention
Pembrolizumab
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Binimetinib
2018
Completed Phase 3
~1100
Pembrolizumab
2017
Completed Phase 2
~2010
Encorafenib
2021
Completed Phase 3
~960

Find a Location

Who is running the clinical trial?

PfizerLead Sponsor
4,567 Previous Clinical Trials
10,911,687 Total Patients Enrolled
51 Trials studying Melanoma
49,267 Patients Enrolled for Melanoma
Merck Sharp & Dohme LLCIndustry Sponsor
3,886 Previous Clinical Trials
5,054,385 Total Patients Enrolled
120 Trials studying Melanoma
21,496 Patients Enrolled for Melanoma
Pfizer CT.gov Call CenterStudy DirectorPfizer
3,474 Previous Clinical Trials
8,092,855 Total Patients Enrolled
25 Trials studying Melanoma
3,241 Patients Enrolled for Melanoma

Media Library

Binimetinib (Kinase Inhibitor) Clinical Trial Eligibility Overview. Trial Name: NCT04657991 — Phase 3
Melanoma Research Study Groups: Control Arm, Triplet Arm
Melanoma Clinical Trial 2023: Binimetinib Highlights & Side Effects. Trial Name: NCT04657991 — Phase 3
Binimetinib (Kinase Inhibitor) 2023 Treatment Timeline for Medical Study. Trial Name: NCT04657991 — Phase 3

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What previous research exists on Pembrolizumab's effectiveness?

"Pembrolizumab is being studied in 1055 active clinical trials, with 125 of those research programs in Phase 3. Although a significant portion of the Pembrolizumab studies are based in Sacramento, California, there are over 39 thousand locations worldwide where Pembrolizumab trials are taking place."

Answered by AI

Where are patients able to participate in this trial?

"This clinical trial has numerous locations, with the three primary ones being Utah Cancer Specialists in Provo, Utah; Ronald Reagan UCLA Medical Center Drug Information Center , Dept. of Pharmaceutical Services (Drug) in Los Angeles, California; and McGill University Health Centre - Glen Site in Montreal, Quebec."

Answered by AI

How many people are currently enrolled in this clinical trial?

"Yes, an online search of clinicaltrials.gov supports that this study is looking for participants. This particular trial was first posted on 1/15/2021 and was last updated on 11/2/2022. They are recruiting 624 total patients from 56 different sites."

Answered by AI

What are some of the key benefits that Pembrolizumab has been shown to provide patients?

"Pembrolizumab is the standard of care for malignant neoplasms. This immunotherapy can also improve patient outcomes for those with microsatellite instability high, unresectable melanoma, and disease progression after chemotherapy."

Answered by AI

Is it still possible for people to join this research project?

"This study, as advertised on clinicaltrials.gov, is seeking participants. The listing was first posted on 1/15/2021 and last updated on 11/2/2022."

Answered by AI

What is the Pembrolizumab FDA approval process?

"There is some efficacy data and multiple rounds of safety data, so Pembrolizumab scored a 3 in terms of safety."

Answered by AI

What is the purpose of this medical study?

"The primary goal of this study is to assess the progression-free survival (PFS) of patients over the course of two treatment cycles (21 days each). This will be evaluated by blinded independent central review. Secondary outcomes include changes in quality of life, as measured by the Functional Assessment of Cancer Therapy-Melanoma subscale score, and the incidence and severity of adverse events."

Answered by AI
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~44 spots leftby May 2025